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Volunteer Application Form

Resuscitate Inc. is a nonprofit organization that provides child sexual abuse prevention training, education, intervention, recovery services, self-defense training, etc. to a diverse platform of individuals, communities, professional and governmental entities.


We encourage the participation of volunteers who support our mission and are willing to contribute.  However, applicants are subject to a criminal background check.  If you have been convicted and/or currently facing a charge of ANY type of crime involving a minor, please do NOT apply.  


The information provided through this form will be kept confidential and will help us determine the most satisfying and appropriate volunteer opportunity for you.

Prefix

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Name*

Birth Date

Complete SS#*

Email Address*

Phone Number*

Street Address*

Street Address Line 2

City, State*

Postal/Zip Code*

Educational Background

Department/Field

Occupation

Department/Position

Have you ever been convicted of ANY crime involving a child/minor?*

Select an option

In which area(s) would you like to volunteer?*

Do you have any volunteering experience?

Select Your Available Days*

What time(s) are you available?*

Signature*

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